Provider Demographics
NPI:1831579101
Name:BRATTON, EMILY
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:BRATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 E BASIN AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-4630
Mailing Address - Country:US
Mailing Address - Phone:775-727-8497
Mailing Address - Fax:775-727-7072
Practice Address - Street 1:1780 E BASIN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-4630
Practice Address - Country:US
Practice Address - Phone:775-727-8497
Practice Address - Fax:775-727-7072
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator